Governor Maura Healey has tasked the Division of Insurance with establishing default out-of-network payment rates to protect patients from surprise medical bills.

Contract showdowns between hospital systems and health insurers are happening more often, and patients are caught in the middle. In recent months, disputes over expiring contracts have led to tens of ...

Health insurance giant Anthem is introducing a new policy that will penalize hospitals for using physicians outside of its coverage network, forcing medical facilities to police physicians’ network ...

Out of Network reimbursement is an essential concept for both healthcare providers and patients, especially when services are rendered by a provider who does not participate in the patient’s insurance ...

When someone is ready to enter rehab, insurance can feel like one more obstacle standing between them and treatment. Many people search for a program, find one that feels like the right fit, and then ...

Most Conservative Model Estimates Nearly $1 Billion in Annual Savings as Only 9% of Eligible Emergency Medicine Claims Reach Arbitration DALLAS, Sept. 3, 2026 /PRNewswire/ -- HaloMD today released a ...

Health Bill Assist lets payers support plan members with out-of-network health bills at no cost to members, according to a Monday (Sept. 9) press release. “Out-of-network billing is not only confusing ...

Physician groups are speaking out against an upcoming Anthem policy that would penalize hospitals for using providers not within the payer's network. Anthem announced the "Facility Administrative ...

Executive SummaryThere is no more controversial issue in the outpatient market today than out-of-network billing. It is important to understand the risks as well as the benefits for your ambulatory ...